NPIMap

Organization Active NPI

Rafati Foot and Ankle Clinic LLC

  • Podiatrist
  • Summit, IL
National Provider Identifier
1104338516
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005230 Issued in IL
Legal business name
RAFATI FOOT AND ANKLE CLINIC LLC
Practice address
7604 W 63Rd St
Summit, IL 60501-1812
Phone
(219) 688-6292
NPI assigned
Oct 26, 2017
Last updated
Oct 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Murad Abdel-Qader
Title
Owner
Phone
(219) 688-6292

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 016005230 IL Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016005230 IL

Addresses

Primary practice location

7604 W 63Rd St
Summit, IL 60501-1812

Mailing address

9340 Lochwood PL
Tinley Park, IL 60487-4797
Phone (219) 688-6292

National Provider Directory

National Provider Directory
Tax ID family
Rafati Foot and Ankle Clinic LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1104338516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9340 LOCHWOOD PL",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604874797",
            "telephone_number": "219-688-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 W 63RD ST",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011812",
            "telephone_number": "219-688-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFATI FOOT AND ANKLE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "ABDEL-QADER",
        "authorized_official_first_name": "MURAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-688-6292"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005230",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.